An investigation on patient's perceptions regarding commencement of treatment following diagnosis with breast cancer at Frere Hospital, Buffalo City Metropolitan Municipality, Eastern Cape Province
- Ntombekaya, Matwele Caroline
- Authors: Ntombekaya, Matwele Caroline
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11927 , http://hdl.handle.net/10353/d1021305
- Description: The aim of the study was to: explore and describe patient’s perceptions regarding commencement of treatment following diagnosis with breast cancer at Frere Hospital in Buffalo City Metropolitan Municipality in the Eastern Cape, South Africa. Reasons why patients diagnosed with breast cancer delay in the commencement of the treatment were to be elicited and strategies for curbing the problem were looked into. A qualitative approach was used, with an exploratory, descriptive and contextual design. The purposive sampling technique was used. The sample comprised 15 participants, 14 Black Africans and 1 Coloured lady. Data were collected using an interview guide from female patients diagnosed with breast cancer whose age ranged from 18-72 years. Interviews were recorded on a tape. Tesch’s (1990) steps of qualitative data analysis guided the analysis process. The results revealed that being diagnosed with breast cancer is perceived as a traumatic and painful experience with negative emotional, social, physical impact and unbearable side effects of from the treatment. Fear of undergoing treatment emerged as a barrier for taking prompt treatment. In exploring, one needs to use empathy, particularly that the researcher engaged in bringing to surface painful information. With the use of understanding and broad mindedness, participants opened up. Recommendations were made regarding strategies for care.
- Full Text:
- Date Issued: 2014
- Authors: Ntombekaya, Matwele Caroline
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11927 , http://hdl.handle.net/10353/d1021305
- Description: The aim of the study was to: explore and describe patient’s perceptions regarding commencement of treatment following diagnosis with breast cancer at Frere Hospital in Buffalo City Metropolitan Municipality in the Eastern Cape, South Africa. Reasons why patients diagnosed with breast cancer delay in the commencement of the treatment were to be elicited and strategies for curbing the problem were looked into. A qualitative approach was used, with an exploratory, descriptive and contextual design. The purposive sampling technique was used. The sample comprised 15 participants, 14 Black Africans and 1 Coloured lady. Data were collected using an interview guide from female patients diagnosed with breast cancer whose age ranged from 18-72 years. Interviews were recorded on a tape. Tesch’s (1990) steps of qualitative data analysis guided the analysis process. The results revealed that being diagnosed with breast cancer is perceived as a traumatic and painful experience with negative emotional, social, physical impact and unbearable side effects of from the treatment. Fear of undergoing treatment emerged as a barrier for taking prompt treatment. In exploring, one needs to use empathy, particularly that the researcher engaged in bringing to surface painful information. With the use of understanding and broad mindedness, participants opened up. Recommendations were made regarding strategies for care.
- Full Text:
- Date Issued: 2014
Attitudes, knowledge and behaviour of HIV positive pregnant women attending antenatal care in Buffalo city metropolitan district East London towards prevention of mother to child transmission (PMTCT)
- Matroshe, Florence Nozakhe Skoti
- Authors: Matroshe, Florence Nozakhe Skoti
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11915 , http://hdl.handle.net/10353/d1016150
- Description: The National HIV and AIDS and STI strategic plan for South Africa, 2007-2011 aims to reduce the rate of mother to child transmission to less than 5% by 2011. On the World Aids day in 2009, the Honorable President Jacob Zuma announced the intervention to improve antiretroviral therapy (ARV), access to priority group’s in order to decrease the disease burden, to address maternal and child mortality, and to improve life expectancy (PMTCT Guidelines: 2010). According to the literature reviewed, accepting attitudes may indicate better knowledge and understanding of HIV and AIDS. Marking a change in South Africa’s history of HIV the South African Government launched a major HIV Counseling and Testing program campaign (HCT) in 2010. For the PMTCT program to work and be acceptable, it needs to be known by its clients. It helps the individual to know about their status so that they make important choices for self and others. Amongst the important choices, medications for opportunistic medications, ARV’S, behavior change, etc, are included (Project Literacy 2006:40). Aim and Objectives: The study assessed the knowledge that the pregnant women have towards the prevention of mother to-child transmission which includes HIV testing, antiretroviral prophylaxis during pregnancy, labour, and post natal and feeding options. Methods: A quantitative descriptive method was used for this study. The questionnaires developed by the researcher were used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all positive pregnant women coming for follow up visit and those available at the time of data collection. Conclusion: In this study evaluation of the level of knowledge and attitude of positive pregnant women with regard to PMTCT in 5 Buffalo City Municipality clinics was conducted. It was found that some of positive pregnant women have better knowledge about PMTC though there were still those that need further education. Recommendations: The service providers, who are the professional nurses, should be provided with proper training on PMTCT program to improve their standard of service delivery and to capacitate them with knowledge and skills. Integration of HIV related health aspects during assessment and treatment of pregnant women should be strengthened, as the purpose of implementation of PMTCT was to reduce mortality rate by 50%, and also to reach the 4th Millennium Development Goal of reducing these deaths by two-thirds by 2015.east london towards prevention of mother to child transmission (pmtct)
- Full Text:
- Date Issued: 2014
- Authors: Matroshe, Florence Nozakhe Skoti
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11915 , http://hdl.handle.net/10353/d1016150
- Description: The National HIV and AIDS and STI strategic plan for South Africa, 2007-2011 aims to reduce the rate of mother to child transmission to less than 5% by 2011. On the World Aids day in 2009, the Honorable President Jacob Zuma announced the intervention to improve antiretroviral therapy (ARV), access to priority group’s in order to decrease the disease burden, to address maternal and child mortality, and to improve life expectancy (PMTCT Guidelines: 2010). According to the literature reviewed, accepting attitudes may indicate better knowledge and understanding of HIV and AIDS. Marking a change in South Africa’s history of HIV the South African Government launched a major HIV Counseling and Testing program campaign (HCT) in 2010. For the PMTCT program to work and be acceptable, it needs to be known by its clients. It helps the individual to know about their status so that they make important choices for self and others. Amongst the important choices, medications for opportunistic medications, ARV’S, behavior change, etc, are included (Project Literacy 2006:40). Aim and Objectives: The study assessed the knowledge that the pregnant women have towards the prevention of mother to-child transmission which includes HIV testing, antiretroviral prophylaxis during pregnancy, labour, and post natal and feeding options. Methods: A quantitative descriptive method was used for this study. The questionnaires developed by the researcher were used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all positive pregnant women coming for follow up visit and those available at the time of data collection. Conclusion: In this study evaluation of the level of knowledge and attitude of positive pregnant women with regard to PMTCT in 5 Buffalo City Municipality clinics was conducted. It was found that some of positive pregnant women have better knowledge about PMTC though there were still those that need further education. Recommendations: The service providers, who are the professional nurses, should be provided with proper training on PMTCT program to improve their standard of service delivery and to capacitate them with knowledge and skills. Integration of HIV related health aspects during assessment and treatment of pregnant women should be strengthened, as the purpose of implementation of PMTCT was to reduce mortality rate by 50%, and also to reach the 4th Millennium Development Goal of reducing these deaths by two-thirds by 2015.east london towards prevention of mother to child transmission (pmtct)
- Full Text:
- Date Issued: 2014
Clinical experiences of third-year student nurses in a public college in the Eastern Cape
- Authors: Tyanti, Mandisa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11912 , http://hdl.handle.net/10353/d1016097
- Description: Clinical experience has always been an important part of nursing education. Nursing colleges require students to be placed in clinical areas in order to acquire new knowledge and skills. The purpose of the study was to explore and describe the clinical experiences during their clinical placement of the third-year student nurses at a public college in the Eastern Cape. The objectives of this study were: to explore and describe the experiences of the third-year student of a public nursing college in the Eastern Cape, and to describe strategies for the improvement of student learning during clinical practice. A qualitative, explorative and descriptive research design was used to describe the clinical experiences of these student nurses and the strategies for the improvement of student learning during clinical practice. Data were collected from focus group interviews, using a purposive and convenience sample from one college campus in the Eastern Cape. Tesch’s method of data analysis (in Creswell, 2003) was used to analyse data. Trustworthiness was ensured in this research by using Guba’s model (in Lincoln & Guba, 1985) of qualitative research. Ethical approval was obtained from the University of Fort Hare Research Ethics Committee, the Department of Health, Eastern Cape, the Head of the Nursing College, the Campus Head and the participants and ethical consideration was ensured throughout the research process. Themes and sub-themes emerged from data collected about the clinical experiences of the nurses. The study brought to light the experiences of third-year student nurses during allocation to clinical areas. The findings from this study revealed the need for proper clinical accompaniment by college staff to ensure that clinical learning is taking place. Strategies to improve learning in the clinical areas are described. and recommendations for nursing education and nursing practice are made. If this is applied, it will help the student nurses to be better professionals.
- Full Text:
- Date Issued: 2014
- Authors: Tyanti, Mandisa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11912 , http://hdl.handle.net/10353/d1016097
- Description: Clinical experience has always been an important part of nursing education. Nursing colleges require students to be placed in clinical areas in order to acquire new knowledge and skills. The purpose of the study was to explore and describe the clinical experiences during their clinical placement of the third-year student nurses at a public college in the Eastern Cape. The objectives of this study were: to explore and describe the experiences of the third-year student of a public nursing college in the Eastern Cape, and to describe strategies for the improvement of student learning during clinical practice. A qualitative, explorative and descriptive research design was used to describe the clinical experiences of these student nurses and the strategies for the improvement of student learning during clinical practice. Data were collected from focus group interviews, using a purposive and convenience sample from one college campus in the Eastern Cape. Tesch’s method of data analysis (in Creswell, 2003) was used to analyse data. Trustworthiness was ensured in this research by using Guba’s model (in Lincoln & Guba, 1985) of qualitative research. Ethical approval was obtained from the University of Fort Hare Research Ethics Committee, the Department of Health, Eastern Cape, the Head of the Nursing College, the Campus Head and the participants and ethical consideration was ensured throughout the research process. Themes and sub-themes emerged from data collected about the clinical experiences of the nurses. The study brought to light the experiences of third-year student nurses during allocation to clinical areas. The findings from this study revealed the need for proper clinical accompaniment by college staff to ensure that clinical learning is taking place. Strategies to improve learning in the clinical areas are described. and recommendations for nursing education and nursing practice are made. If this is applied, it will help the student nurses to be better professionals.
- Full Text:
- Date Issued: 2014
Experiences of agency nurses regarding their placement in private hospitals in East London, Eastern Cape
- Authors: Muller, Jennifer
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11911 , http://hdl.handle.net/10353/d1016054
- Description: The general Australian workforce is becoming increasingly reliant on agency staff due to the diminishing of full-time jobs and the rise in part-time jobs since the recession of 1991-1992. This pattern is also seen in Western countries such as America and the United Kingdom (Peerson et al., 2002:505). The excessive costs of health service adopting a 100% staffing model has created the use of agency nursing to help meet fluctuating and unpredictable health care demands in Australia and overseas; agency staff are used to meet the shortfalls in staff-patient ratios (Peerson et al., 2002:505). Hurst & Smith (2011:287) agree that agency nurse staffing form a large part of the health service in the UK and state that this was unlikely to change because of recruitment and retention problems, high absenteeism, and staff wanting to work casually. In their study, they identified three types of agency nurses: A bank nurse – the hospital’s own employees or those supplied by NHS Professionals, who work when required, usually at short notice; agency nurses provided by commercial organisations, who are equally flexible but less familiar with the ward patients and procedures; and permanent ward staff working paid overtime. In South Africa, this also remains a problem in public and private institutions. The World Health Organization (WHO) states that the minimum ratio for nurses to population is 200:100 000 or 500 people per nurse. According to South African Nursing Council statistics of nursing manpower as at the end of 2008, South Africa has 437 nurses for every 100 000 people. This assumed that all nurses registered with SANC are working in South Africa at the time. Therefore, if the assumed number of staff not working in South Africa is subtracted, the ratio can increase to between 600 and 678 people per nurse (WHO, 2006). Joubert (2009:2) shows that a shortage of nurses contributes to deaths in hospitals in South Africa that would otherwise have been avoidable. The use of agency staff is becoming an appropriate means of providing cost-effectiveness and flexibility to staffing needs.
- Full Text:
- Date Issued: 2014
- Authors: Muller, Jennifer
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11911 , http://hdl.handle.net/10353/d1016054
- Description: The general Australian workforce is becoming increasingly reliant on agency staff due to the diminishing of full-time jobs and the rise in part-time jobs since the recession of 1991-1992. This pattern is also seen in Western countries such as America and the United Kingdom (Peerson et al., 2002:505). The excessive costs of health service adopting a 100% staffing model has created the use of agency nursing to help meet fluctuating and unpredictable health care demands in Australia and overseas; agency staff are used to meet the shortfalls in staff-patient ratios (Peerson et al., 2002:505). Hurst & Smith (2011:287) agree that agency nurse staffing form a large part of the health service in the UK and state that this was unlikely to change because of recruitment and retention problems, high absenteeism, and staff wanting to work casually. In their study, they identified three types of agency nurses: A bank nurse – the hospital’s own employees or those supplied by NHS Professionals, who work when required, usually at short notice; agency nurses provided by commercial organisations, who are equally flexible but less familiar with the ward patients and procedures; and permanent ward staff working paid overtime. In South Africa, this also remains a problem in public and private institutions. The World Health Organization (WHO) states that the minimum ratio for nurses to population is 200:100 000 or 500 people per nurse. According to South African Nursing Council statistics of nursing manpower as at the end of 2008, South Africa has 437 nurses for every 100 000 people. This assumed that all nurses registered with SANC are working in South Africa at the time. Therefore, if the assumed number of staff not working in South Africa is subtracted, the ratio can increase to between 600 and 678 people per nurse (WHO, 2006). Joubert (2009:2) shows that a shortage of nurses contributes to deaths in hospitals in South Africa that would otherwise have been avoidable. The use of agency staff is becoming an appropriate means of providing cost-effectiveness and flexibility to staffing needs.
- Full Text:
- Date Issued: 2014
Experiences of college students, regarding the mentoring role of registered nurses in the public services of the Eastern Cape, South Africa
- Authors: Lundall, Kasthuri
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11918 , http://hdl.handle.net/10353/d1016159
- Description: Fifty percent of the learning of student nurses takes place within the clinical learning environment. It is in this environment that nursing students are expected to apply their knowledge, learn new skills, and achieve the required learning outcomes and proficiencies. Nursing program Me s differ significantly, so students ‟practice will vary depending on where they are studying and their practice will develop as the level of proficiency increases, and may also vary depending on the context of placement. Gopee (2008:7) elaborates on the fact that mentoring enables student nurses to gain clinical skills during placements and serves a formal role whereby teaching and practice facilitate professional learning within the healthcare system. The study was undertaken with the aim to describe experiences of college students regarding the mentoring role by registered nurses in the Public Services of the Eastern Cape. The objectives of the study were to explore and describe experiences of college students, regarding the mentoring role of registered nurses in Public Services of the Eastern Cape, to analyse the results and to make suggestions from findings that were obtained. A qualitative, exploratory, descriptive and contextual design was used for this study to explore and describe the experiences of the college students regarding the mentoring role of registered nurses in the Public Services of the Eastern Cape, South Africa. The researcher studied the population of student nurses in the public nursing college in the Eastern Cape at the East London Campus. Purposive sampling which is referred to as a judgmental approach was used. Data were collected by means of focus group interviews. An interview schedule with an unstructured questionnaire was used to investigate and explore information gained from the participants. This study consisted of a total of five focus groups that were recruited from fourth-year nursing students at the East London campus who volunteered to be part of the study. The total number of participants was 31. Data were analysed using v Tesch‟s method of analysis for qualitative research. Two major themes emerged, revealing positive experiences of students with regard to mentoring and negative experiences of students regarding mentoring. After exploring and describing the experiences of college students regarding the mentoring role played by registered nurses in the Public Services of the Eastern Cape, it was concluded that that there is a lack of mentoring, coupled with negativity, by registered nurses which results in many challenges. Recommendations included: Motivation for integration and collaboration; interactive working relationships; introducing a well-established orientation programme; a well-structured clinical teaching programme and procedure manuals; reinstatement of clinical preceptors, clinical objectives and time frames; identify in clinical staff who will mentor student nurses; instituting in-service training programmes and workshops; introduction of peer mentoring; and establishment of set times for routine clinical ward rounds.
- Full Text:
- Date Issued: 2014
- Authors: Lundall, Kasthuri
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11918 , http://hdl.handle.net/10353/d1016159
- Description: Fifty percent of the learning of student nurses takes place within the clinical learning environment. It is in this environment that nursing students are expected to apply their knowledge, learn new skills, and achieve the required learning outcomes and proficiencies. Nursing program Me s differ significantly, so students ‟practice will vary depending on where they are studying and their practice will develop as the level of proficiency increases, and may also vary depending on the context of placement. Gopee (2008:7) elaborates on the fact that mentoring enables student nurses to gain clinical skills during placements and serves a formal role whereby teaching and practice facilitate professional learning within the healthcare system. The study was undertaken with the aim to describe experiences of college students regarding the mentoring role by registered nurses in the Public Services of the Eastern Cape. The objectives of the study were to explore and describe experiences of college students, regarding the mentoring role of registered nurses in Public Services of the Eastern Cape, to analyse the results and to make suggestions from findings that were obtained. A qualitative, exploratory, descriptive and contextual design was used for this study to explore and describe the experiences of the college students regarding the mentoring role of registered nurses in the Public Services of the Eastern Cape, South Africa. The researcher studied the population of student nurses in the public nursing college in the Eastern Cape at the East London Campus. Purposive sampling which is referred to as a judgmental approach was used. Data were collected by means of focus group interviews. An interview schedule with an unstructured questionnaire was used to investigate and explore information gained from the participants. This study consisted of a total of five focus groups that were recruited from fourth-year nursing students at the East London campus who volunteered to be part of the study. The total number of participants was 31. Data were analysed using v Tesch‟s method of analysis for qualitative research. Two major themes emerged, revealing positive experiences of students with regard to mentoring and negative experiences of students regarding mentoring. After exploring and describing the experiences of college students regarding the mentoring role played by registered nurses in the Public Services of the Eastern Cape, it was concluded that that there is a lack of mentoring, coupled with negativity, by registered nurses which results in many challenges. Recommendations included: Motivation for integration and collaboration; interactive working relationships; introducing a well-established orientation programme; a well-structured clinical teaching programme and procedure manuals; reinstatement of clinical preceptors, clinical objectives and time frames; identify in clinical staff who will mentor student nurses; instituting in-service training programmes and workshops; introduction of peer mentoring; and establishment of set times for routine clinical ward rounds.
- Full Text:
- Date Issued: 2014
Exploration of indigenous knowledge and practices of the relatives of mental health care users regarding management of mental disorders in Malawi
- Authors: Kavalo, Yasinta
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11933 , http://hdl.handle.net/10353/d1021333 , http://hdl.handle.net/10353/d1020173
- Description: Exploration of indigenous knowledge and practices of the relatives of mental health care users regarding the management of mental disorders. This study was conducted to explore the management of mental disorders amongst the indigenous people of the Dedza District in Malawi. The government of Malawi declared public mental health services to be free of charge, as a strategy to reduce the burden of disease to the country. Yet despite the free health care services, the indigenous people of Malawi did not take advantage of these free mental health care services, as they regarded them to be culturally incongruent. Instead they used traditional healing systems for mental disorders and consulted the Western health systems only when the traditional systems had failed, the mental health condition had become worse and the mental health care user had become unmanageable. This study was then conducted to explore what the Malawians regarded as culturally sensitive public mental health services. Method: A qualitative phenomenological research approach was adopted to explore the views of the relatives of mental health care users about culturally sensitive public mental health care services. A purposeful sampling method was used to select information rich participants amongst the relatives of mental health care users of indigenous Malawian origin. An unstructured interview guide was used to gather data through face to face interviews. Saturation of data was reached after interviewing fifteen (15) relatives. The verbatim transcribed data from the participants were content analyzed to identify the themes, categories and subcategories. Themes that emerged were: community beliefs; perceived causes, delayed decision making and health system factors. viii Findings: The community beliefs about the management of mental disorders were on traditional and religious health systems. The traditional healers were consulted in cases where mental illness was believed to be caused by witchcraft and spiritual healers were consulted where mental illness was believed to be caused by ancestral wrath. Even such consultations were delayed as the decisions on the type of healer to be used to manage the mental health care user, had to come from the extended family members. These processes took place during the acute phase of the mental illness and thus explain the delays in consulting with the Western mental health care systems. Such delays had a potential to contribute to the chronicity and the related complications of the illness. The Western health care services were only consulted when the indigenous healing systems were unsuccessful. Yet even the western healing systems were not the best option due to the negative and disrespectful attitudes of health care professionals, the impersonal nature of services, the use of foreign language and delays in service delivery. The recommendations were that the results of this study should be used as guidelines to develop strategies for culturally congruent mental health care services to the indigenous Malawians as the development of the strategies was beyond the scope of this study. The focus of the guidelines to ensure the development of evidence-based nursing practices in rendering culturally congruent mental health services to the indigenous Malawians. Firstly, there should be an integration of both the Western and the traditional healing systems to ensure a holistic patient centered approach to the care of the indigenous people of Malawi; secondly to use the nursing process phases, starting with the assessment, the formulation of the nursing diagnosis, the expected outcomes, the development and implementation of the nursing interventions and the discharge ix plans to incorporate the belief systems of the indigenous Malawians as identified in this study.
- Full Text:
- Date Issued: 2014
- Authors: Kavalo, Yasinta
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11933 , http://hdl.handle.net/10353/d1021333 , http://hdl.handle.net/10353/d1020173
- Description: Exploration of indigenous knowledge and practices of the relatives of mental health care users regarding the management of mental disorders. This study was conducted to explore the management of mental disorders amongst the indigenous people of the Dedza District in Malawi. The government of Malawi declared public mental health services to be free of charge, as a strategy to reduce the burden of disease to the country. Yet despite the free health care services, the indigenous people of Malawi did not take advantage of these free mental health care services, as they regarded them to be culturally incongruent. Instead they used traditional healing systems for mental disorders and consulted the Western health systems only when the traditional systems had failed, the mental health condition had become worse and the mental health care user had become unmanageable. This study was then conducted to explore what the Malawians regarded as culturally sensitive public mental health services. Method: A qualitative phenomenological research approach was adopted to explore the views of the relatives of mental health care users about culturally sensitive public mental health care services. A purposeful sampling method was used to select information rich participants amongst the relatives of mental health care users of indigenous Malawian origin. An unstructured interview guide was used to gather data through face to face interviews. Saturation of data was reached after interviewing fifteen (15) relatives. The verbatim transcribed data from the participants were content analyzed to identify the themes, categories and subcategories. Themes that emerged were: community beliefs; perceived causes, delayed decision making and health system factors. viii Findings: The community beliefs about the management of mental disorders were on traditional and religious health systems. The traditional healers were consulted in cases where mental illness was believed to be caused by witchcraft and spiritual healers were consulted where mental illness was believed to be caused by ancestral wrath. Even such consultations were delayed as the decisions on the type of healer to be used to manage the mental health care user, had to come from the extended family members. These processes took place during the acute phase of the mental illness and thus explain the delays in consulting with the Western mental health care systems. Such delays had a potential to contribute to the chronicity and the related complications of the illness. The Western health care services were only consulted when the indigenous healing systems were unsuccessful. Yet even the western healing systems were not the best option due to the negative and disrespectful attitudes of health care professionals, the impersonal nature of services, the use of foreign language and delays in service delivery. The recommendations were that the results of this study should be used as guidelines to develop strategies for culturally congruent mental health care services to the indigenous Malawians as the development of the strategies was beyond the scope of this study. The focus of the guidelines to ensure the development of evidence-based nursing practices in rendering culturally congruent mental health services to the indigenous Malawians. Firstly, there should be an integration of both the Western and the traditional healing systems to ensure a holistic patient centered approach to the care of the indigenous people of Malawi; secondly to use the nursing process phases, starting with the assessment, the formulation of the nursing diagnosis, the expected outcomes, the development and implementation of the nursing interventions and the discharge ix plans to incorporate the belief systems of the indigenous Malawians as identified in this study.
- Full Text:
- Date Issued: 2014
Exploration of nursing students’ experiences of learning in a tertiary institution in East London in the Province of Eastern Cape
- Authors: Bulelwa, Cynthia James
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11909 , http://hdl.handle.net/10353/d1015526
- Description: The purpose of this study was to explore and describe the experiences of nursing students learning in a tertiary institution in East London in the Province of the Eastern Cape. Reviewed literature has revealed that the transition from high school to university is a major concern globally and that students start tertiary education with a number of pre-existing problems which influence their experience of learning and their academic performance. A qualitative, contextual approach and phenomenology design was seen as most appropriate to guide this research process in this study. Purposive, non-probability sampling was used to select the 12 participants. The participants included nursing students from the University of Fort Hare in East London in the Eastern Cape Province who are enrolled in the course leading to registration as a Nurse (General, Psychiatry and Community) and Midwifery. A pilot study was conducted at the University of Fort Hare involving respondents with similar characteristics to the study population.
- Full Text:
- Date Issued: 2014
- Authors: Bulelwa, Cynthia James
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11909 , http://hdl.handle.net/10353/d1015526
- Description: The purpose of this study was to explore and describe the experiences of nursing students learning in a tertiary institution in East London in the Province of the Eastern Cape. Reviewed literature has revealed that the transition from high school to university is a major concern globally and that students start tertiary education with a number of pre-existing problems which influence their experience of learning and their academic performance. A qualitative, contextual approach and phenomenology design was seen as most appropriate to guide this research process in this study. Purposive, non-probability sampling was used to select the 12 participants. The participants included nursing students from the University of Fort Hare in East London in the Eastern Cape Province who are enrolled in the course leading to registration as a Nurse (General, Psychiatry and Community) and Midwifery. A pilot study was conducted at the University of Fort Hare involving respondents with similar characteristics to the study population.
- Full Text:
- Date Issued: 2014
Factors contributing to non adherence among pregnant women on antiretroviral treatment at Amathole District, Eastern Cape
- Authors: Dekeda, Kolelwa Felicia
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11921 , http://hdl.handle.net/10353/d1019773
- Description: During the beginning of the HIV epidemic in 1981 25 million people have died. The introduction of ART therefore has promising developments to reduce mortality rates and new infections. Nevertheless there is still a challenge with adherence to ART worldwide and in South Africa. The purpose of the study was to determine the factors contributing to non-adherence to ART among HIV positive pregnant women. The study involved a non- probability sample of 70 HIV pregnant women on ART attending antenatal care clinics at the tertiary hospital and two community health centres,in Buffalo City, Amathole District, Eastern Cape. A coded questionnaire was used as an instrument for data collection. Ethical procedure was followed and a consent form was signed by each participant. Data was collected for a period of two months The demographic data reveals that the majority of the participants were knowledgeable about ART and employed. That is evident in the adherence to ART in all age groups except age 40 and above. The majority of HIV positive pregnant women on ART who participated in the study were single 50% (n=35) which suggests that they may lack emotional support from partners and may have difficulty in disclosing their status. Level of adherence revealed that 27% (n=19) of participants missed ART because of forgetfulness, and 16% (n=12) and others were feeling healthy due to frequent follow ups and complying with the ART. Poor follow up, too sick, side effects pill burden, fear of stigma, lack of finances and taking alcohol hinders the proper management of HIV positive pregnant women and is risky to the unborn baby. HIV positive pregnant women on ART exhibited a good knowledge and use of ART. This is encouraging and should be sustained by continuous community awareness campaigns to empower the communities about HIV/AIDS, PMTCT programme and ART and extensive training of health care providers.
- Full Text:
- Date Issued: 2014
- Authors: Dekeda, Kolelwa Felicia
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11921 , http://hdl.handle.net/10353/d1019773
- Description: During the beginning of the HIV epidemic in 1981 25 million people have died. The introduction of ART therefore has promising developments to reduce mortality rates and new infections. Nevertheless there is still a challenge with adherence to ART worldwide and in South Africa. The purpose of the study was to determine the factors contributing to non-adherence to ART among HIV positive pregnant women. The study involved a non- probability sample of 70 HIV pregnant women on ART attending antenatal care clinics at the tertiary hospital and two community health centres,in Buffalo City, Amathole District, Eastern Cape. A coded questionnaire was used as an instrument for data collection. Ethical procedure was followed and a consent form was signed by each participant. Data was collected for a period of two months The demographic data reveals that the majority of the participants were knowledgeable about ART and employed. That is evident in the adherence to ART in all age groups except age 40 and above. The majority of HIV positive pregnant women on ART who participated in the study were single 50% (n=35) which suggests that they may lack emotional support from partners and may have difficulty in disclosing their status. Level of adherence revealed that 27% (n=19) of participants missed ART because of forgetfulness, and 16% (n=12) and others were feeling healthy due to frequent follow ups and complying with the ART. Poor follow up, too sick, side effects pill burden, fear of stigma, lack of finances and taking alcohol hinders the proper management of HIV positive pregnant women and is risky to the unborn baby. HIV positive pregnant women on ART exhibited a good knowledge and use of ART. This is encouraging and should be sustained by continuous community awareness campaigns to empower the communities about HIV/AIDS, PMTCT programme and ART and extensive training of health care providers.
- Full Text:
- Date Issued: 2014
Investigating the provision of nutritional support to critically ill hospitalised patients by registered nurses in East London public and private hospitals in the Eastern Cape
- Authors: Mooi, Nomaxabiso Mildred
- Date: 2014
- Subjects: Nutritional support , Critical illness , Critical Care units , Registered nurses
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11910 , http://hdl.handle.net/10353/d1015533 , Nutritional support , Critical illness , Critical Care units , Registered nurses
- Description: Critical illness is typically associated with a catabolic stress state in which patients commonly demonstrate a systemic inflammatory response that brings about changes in their body systems. Changes in the body systems make the critically ill dependent on mechanical ventilation and inotropic support for longer periods in order to survive. However, this inflammatory response can be attenuated by the timely introduction of nutritional support to provide energy and nutrients to diminish catabolism and promote anabolism. The result could be a decrease in the morbidity and mortality rates, as well as the financial burden on the patients, institutions and the state. Since registered nurses initiate and utilise feeding protocols to achieve target goals, there is a strong need for nurse-initiated feeding protocols. These protocols should be coupled with a comprehensive nurse-directed nutritional educational intervention that will focus on their safe and effective implementation. This focus on nursing nutrition education represents a major shift away from traditional education which has focused on dietitians and physicians. Evidence suggests that incorporating guideline recommendations into nurse-initiated protocols for starting and advancing enteral feedings is an effective strategy to improve the delivery of nutritional support. The study was aimed at exploring the provision of nutritional support to critically ill hospitalised patients by registered nurses to identify and describe possible gaps in the practice, through determining the potential relationship between the provision of nutritional support and characteristics of its providers. A quantitative, descriptive correlational study was undertaken. Seventy registered nurses working in neonatal/paediatric and adult critical care units in two public and three private hospitals in East London in the Eastern Cape participated in the study. The sample also included public critical care students. The results showed that registered nurses in private hospitals have more knowledge about the importance of nutritional support than their public hospital counterparts and students. The mean score was on the question was 80.3% with the highest score of 91% which was for the private hospital nurses, followed by 77.2% for public and 71.4% for students. Again, the mean score for knowledge on timing of initiating nutritional support was 48%, the highest score being 69.4% for students followed by private hospital nurses with 49.6%. Close to 63% (n = 44) of these nurses were either unsure about the availability of nutritional protocols or clearly attested to their non-availability. This is seen as an issue of concern because a protocol is meant to be a standard document with which all members of the ICU should be familiar. It is meant to guide and facilitate the manner of working in the unit. While facilitation of maintenance of nutritional support to patients is the responsibility of registered nurses, according to Regulation 2598(1984) section 45 (1) (q) of the South African Nursing Council, 68% (n = 48) of the respondents felt that this was in the practising scope of doctors and dietitians. The study concluded that the nurses are knowledgeable about the importance of nutritional support but knowledge gaps have been identified as far as the timing of initiating nutritional support is concerned. Some attested to unavailability of standard guidelines that are tailored into protocols guiding the provision of nutritional support by registered nurses in the critical care units. Nutrition should be prioritised as an important therapy for improving the outcomes of critically ill patients. Nurses need to analyse its provision, identify barriers to nutritional strategies and engage in nutritional education to empower themselves regarding the practice. Most importantly, there is a need for nurse-initiated nutritional protocols that are tailored from the broad nutritional guidelines and aligned with the local context and ways of practising. Nutritional support should be included as a key component of the curriculum in academic programmes that specialise in critical care nursing.
- Full Text:
- Date Issued: 2014
- Authors: Mooi, Nomaxabiso Mildred
- Date: 2014
- Subjects: Nutritional support , Critical illness , Critical Care units , Registered nurses
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11910 , http://hdl.handle.net/10353/d1015533 , Nutritional support , Critical illness , Critical Care units , Registered nurses
- Description: Critical illness is typically associated with a catabolic stress state in which patients commonly demonstrate a systemic inflammatory response that brings about changes in their body systems. Changes in the body systems make the critically ill dependent on mechanical ventilation and inotropic support for longer periods in order to survive. However, this inflammatory response can be attenuated by the timely introduction of nutritional support to provide energy and nutrients to diminish catabolism and promote anabolism. The result could be a decrease in the morbidity and mortality rates, as well as the financial burden on the patients, institutions and the state. Since registered nurses initiate and utilise feeding protocols to achieve target goals, there is a strong need for nurse-initiated feeding protocols. These protocols should be coupled with a comprehensive nurse-directed nutritional educational intervention that will focus on their safe and effective implementation. This focus on nursing nutrition education represents a major shift away from traditional education which has focused on dietitians and physicians. Evidence suggests that incorporating guideline recommendations into nurse-initiated protocols for starting and advancing enteral feedings is an effective strategy to improve the delivery of nutritional support. The study was aimed at exploring the provision of nutritional support to critically ill hospitalised patients by registered nurses to identify and describe possible gaps in the practice, through determining the potential relationship between the provision of nutritional support and characteristics of its providers. A quantitative, descriptive correlational study was undertaken. Seventy registered nurses working in neonatal/paediatric and adult critical care units in two public and three private hospitals in East London in the Eastern Cape participated in the study. The sample also included public critical care students. The results showed that registered nurses in private hospitals have more knowledge about the importance of nutritional support than their public hospital counterparts and students. The mean score was on the question was 80.3% with the highest score of 91% which was for the private hospital nurses, followed by 77.2% for public and 71.4% for students. Again, the mean score for knowledge on timing of initiating nutritional support was 48%, the highest score being 69.4% for students followed by private hospital nurses with 49.6%. Close to 63% (n = 44) of these nurses were either unsure about the availability of nutritional protocols or clearly attested to their non-availability. This is seen as an issue of concern because a protocol is meant to be a standard document with which all members of the ICU should be familiar. It is meant to guide and facilitate the manner of working in the unit. While facilitation of maintenance of nutritional support to patients is the responsibility of registered nurses, according to Regulation 2598(1984) section 45 (1) (q) of the South African Nursing Council, 68% (n = 48) of the respondents felt that this was in the practising scope of doctors and dietitians. The study concluded that the nurses are knowledgeable about the importance of nutritional support but knowledge gaps have been identified as far as the timing of initiating nutritional support is concerned. Some attested to unavailability of standard guidelines that are tailored into protocols guiding the provision of nutritional support by registered nurses in the critical care units. Nutrition should be prioritised as an important therapy for improving the outcomes of critically ill patients. Nurses need to analyse its provision, identify barriers to nutritional strategies and engage in nutritional education to empower themselves regarding the practice. Most importantly, there is a need for nurse-initiated nutritional protocols that are tailored from the broad nutritional guidelines and aligned with the local context and ways of practising. Nutritional support should be included as a key component of the curriculum in academic programmes that specialise in critical care nursing.
- Full Text:
- Date Issued: 2014
Perceived academic support of student nurses at a public nursing college in the Eastern Cape Province
- Authors: Sineke, Nqatyiswa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11917 , http://hdl.handle.net/10353/d1016158
- Description: Academic support is critical in promoting success among student nurses. Support for student learning is a key element in optimizing student learning experiences, in any learning environment, and its importance has been widely discussed. Student academic support is closely related to motivation for learning, and helping students achieve their learning goals and objectives. Student nurses continue to struggle during their training, to the point of failing a year or being excluded from the course, in spite of the academic support provided through classroom facilitation, and remedial teaching provided by academic staff. They frequently complain that the course is difficult, the workload is heavy, and they are unable to integrate theory with practice. As a result they are too stressed, throughout their training. The purpose of this study is to explore and describe the perceptions of student nurses about the academic support provided to them at a public nursing college in the Eastern Cape Province. This study was guided by the Caring Curriculum Model, based on Watson‟s Theory of Caring. The core of this theory is the implementation of ten carative factors to promote health and equilibrium. Caring was endorsed as a core value in nursing education and practice, by the National League of Nursing and the American Association of Colleges of Nursing, while the centrality of a caring-healing relationship was recognized as a basis for all health professional education by the Pew Health Professions Commission. A quantitative approach, using a descriptive and explanatory design, was used to determine the perceptions of student nurses on the academic support they received from the public nursing college. Participants were selected by a simple random sampling method. A total of 189 student nurses, who registered for the 4-year diploma programme at the East London Campus of the Lilitha College of Nursing, participated in the study. Self-report data was collected by means of the Academic Support questionnaire, using a Likert scale which addressed both the performance and importance of academic support. Data were analysed using Statistical Analysis Systems version 9.3, using mean tables and graphical data analysis. The findings revealed high performance ratings for aspects relating to academic advising and teaching-learning process, indicating that there is satisfaction among students on these service attributes. Poor performance ratings were identified, relative to campus support services, indicating that student nurses were not happy with the availability and accessibility of library resources, and computer and internet services. Student nurses, at the college under study, were also not happy with aspects of service excellence relating to campus-based health care facilities, and personal student counselling services. The study identified a gap between the perceived performance and the importance of academic support at the nursing college, as the general performance was rated lower than the importance of academic support. The findings suggest the necessity for improved library facilities and resources, healthcare and counselling services and the establishment of student support programmes, to build the capacity of students and to enhance their chances of success.
- Full Text:
- Date Issued: 2014
- Authors: Sineke, Nqatyiswa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11917 , http://hdl.handle.net/10353/d1016158
- Description: Academic support is critical in promoting success among student nurses. Support for student learning is a key element in optimizing student learning experiences, in any learning environment, and its importance has been widely discussed. Student academic support is closely related to motivation for learning, and helping students achieve their learning goals and objectives. Student nurses continue to struggle during their training, to the point of failing a year or being excluded from the course, in spite of the academic support provided through classroom facilitation, and remedial teaching provided by academic staff. They frequently complain that the course is difficult, the workload is heavy, and they are unable to integrate theory with practice. As a result they are too stressed, throughout their training. The purpose of this study is to explore and describe the perceptions of student nurses about the academic support provided to them at a public nursing college in the Eastern Cape Province. This study was guided by the Caring Curriculum Model, based on Watson‟s Theory of Caring. The core of this theory is the implementation of ten carative factors to promote health and equilibrium. Caring was endorsed as a core value in nursing education and practice, by the National League of Nursing and the American Association of Colleges of Nursing, while the centrality of a caring-healing relationship was recognized as a basis for all health professional education by the Pew Health Professions Commission. A quantitative approach, using a descriptive and explanatory design, was used to determine the perceptions of student nurses on the academic support they received from the public nursing college. Participants were selected by a simple random sampling method. A total of 189 student nurses, who registered for the 4-year diploma programme at the East London Campus of the Lilitha College of Nursing, participated in the study. Self-report data was collected by means of the Academic Support questionnaire, using a Likert scale which addressed both the performance and importance of academic support. Data were analysed using Statistical Analysis Systems version 9.3, using mean tables and graphical data analysis. The findings revealed high performance ratings for aspects relating to academic advising and teaching-learning process, indicating that there is satisfaction among students on these service attributes. Poor performance ratings were identified, relative to campus support services, indicating that student nurses were not happy with the availability and accessibility of library resources, and computer and internet services. Student nurses, at the college under study, were also not happy with aspects of service excellence relating to campus-based health care facilities, and personal student counselling services. The study identified a gap between the perceived performance and the importance of academic support at the nursing college, as the general performance was rated lower than the importance of academic support. The findings suggest the necessity for improved library facilities and resources, healthcare and counselling services and the establishment of student support programmes, to build the capacity of students and to enhance their chances of success.
- Full Text:
- Date Issued: 2014
Perinatal experiences of pregnant undergraduate students of a higher education institution in the Eastern Cape
- Authors: Simandla, Linda
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11913 , http://hdl.handle.net/10353/d1016125
- Description: Unplanned pregnancies among students are increasing annually. There are cases of students giving birth by themselves in the rooms within higher education institution residences unsupervised. Unsupervised births put the students at health risk as birth can complicate or even lead to death. The purpose of this study was to explore the perinatal experiences of undergraduate students whilst a pregnant student. In this study the researcher used a qualitative phenomenological approach within interpretive realism. The study was exploratory focusing on the need to understand how students experience perinatal care. Population for this study comprised of undergraduate students that had been pregnant within their undergraduate program which normally takes three to four years and were staying in the higher education institution residence at the time of pregnancy. A snowball sample was used. Data was collected from participants using unstructured in-depth interviews. For the study a total of 9 students were interviewed. Data was collected in English and Xhosa depending on preference. During pilot interviews the researcher established that the participants had difficulty in expressing themselves in English and used slang in spite of being registered for a degree. The interviews were conducted by the researcher and the data tape recorded. Permission to conduct a study at the higher education institution was sought from the Vice- chancellor, the Dean of Students and Research Ethics Committee To ensure trustworthiness of the study credibility, transferability, dependability and confirmability were adhered to. Four themes with several sub-themes emerged which were: Dynamics on awareness about existence of pregnancy. Support system for female students pertaining to reproductive health. Encountered psychosocial experiences. Coping strategies used by pregnant students. Excerpts were used to support the interpretation of perinatal experiences of the undergraduate students. Recommendations to the management of the higher education institution are to develop guidelines that ensure implementation of the pregnancy policy.
- Full Text:
- Date Issued: 2014
- Authors: Simandla, Linda
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11913 , http://hdl.handle.net/10353/d1016125
- Description: Unplanned pregnancies among students are increasing annually. There are cases of students giving birth by themselves in the rooms within higher education institution residences unsupervised. Unsupervised births put the students at health risk as birth can complicate or even lead to death. The purpose of this study was to explore the perinatal experiences of undergraduate students whilst a pregnant student. In this study the researcher used a qualitative phenomenological approach within interpretive realism. The study was exploratory focusing on the need to understand how students experience perinatal care. Population for this study comprised of undergraduate students that had been pregnant within their undergraduate program which normally takes three to four years and were staying in the higher education institution residence at the time of pregnancy. A snowball sample was used. Data was collected from participants using unstructured in-depth interviews. For the study a total of 9 students were interviewed. Data was collected in English and Xhosa depending on preference. During pilot interviews the researcher established that the participants had difficulty in expressing themselves in English and used slang in spite of being registered for a degree. The interviews were conducted by the researcher and the data tape recorded. Permission to conduct a study at the higher education institution was sought from the Vice- chancellor, the Dean of Students and Research Ethics Committee To ensure trustworthiness of the study credibility, transferability, dependability and confirmability were adhered to. Four themes with several sub-themes emerged which were: Dynamics on awareness about existence of pregnancy. Support system for female students pertaining to reproductive health. Encountered psychosocial experiences. Coping strategies used by pregnant students. Excerpts were used to support the interpretation of perinatal experiences of the undergraduate students. Recommendations to the management of the higher education institution are to develop guidelines that ensure implementation of the pregnancy policy.
- Full Text:
- Date Issued: 2014
Professional nurses’ perceptions on quality patient care in one of the Eastern Cape state hospitals
- Authors: Somahela, Khanyisa Judith
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11353 , http://hdl.handle.net/10353/d1021141
- Description: The focus of this study was to explore the perceptions of professional nurses in the quality of care rendered by nurses in the public hospitals. Nursing is a challenging, demanding, and yet fulfilling profession, whose goal is to provide quality care to individuals, families and communities. However, there are inconsistencies regarding the quality of care rendered by nurses in the public hospitals. The media and the public portray nurses as providing poor quality care in the health care facilities. Conversely, the nurses view that they are doing their best, considering the challenging circumstances under which they work in public institutions.The study followed a qualitative approach and an exploratory descriptive design. A purposive sample of 13 professional nurses participated in the study. The sample size was not pre-determined. Data were collected until data saturation, when the interviews yielded no new information. The study was conducted in a state hospital in the Eastern Cape, using an interview guide. Responses were recorded using a tape recorder. No incentives were given to participants. Data were collected and analysed following the Tesch’s method. Prior to conducting the study, the researcher obtained ethical clearance from the University of Fort Hare research ethics committee. The perceptions of the professional nurses who participated in this study were inconsistent. The majority pointed out that the quality of patient care was deteriorating which means the patient care is poor. whereas some participants indicated that the quality of patient care was still the same; it had not changed or deteriorated, The contributing factors to the poor quality patient care were indicated as; shortage of staff, shortage of resources such as equipment, inadequate empowerment of staff, insufficient training of students, staff arriving late for duties, lack of passion their work, skipping and missing of routines, support service that was not working hand in hand with the nursing staff, increased hospitalization of patients and the Eastern cape Department of Health failing to remunerate the nurses as promised.
- Full Text:
- Date Issued: 2014
- Authors: Somahela, Khanyisa Judith
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11353 , http://hdl.handle.net/10353/d1021141
- Description: The focus of this study was to explore the perceptions of professional nurses in the quality of care rendered by nurses in the public hospitals. Nursing is a challenging, demanding, and yet fulfilling profession, whose goal is to provide quality care to individuals, families and communities. However, there are inconsistencies regarding the quality of care rendered by nurses in the public hospitals. The media and the public portray nurses as providing poor quality care in the health care facilities. Conversely, the nurses view that they are doing their best, considering the challenging circumstances under which they work in public institutions.The study followed a qualitative approach and an exploratory descriptive design. A purposive sample of 13 professional nurses participated in the study. The sample size was not pre-determined. Data were collected until data saturation, when the interviews yielded no new information. The study was conducted in a state hospital in the Eastern Cape, using an interview guide. Responses were recorded using a tape recorder. No incentives were given to participants. Data were collected and analysed following the Tesch’s method. Prior to conducting the study, the researcher obtained ethical clearance from the University of Fort Hare research ethics committee. The perceptions of the professional nurses who participated in this study were inconsistent. The majority pointed out that the quality of patient care was deteriorating which means the patient care is poor. whereas some participants indicated that the quality of patient care was still the same; it had not changed or deteriorated, The contributing factors to the poor quality patient care were indicated as; shortage of staff, shortage of resources such as equipment, inadequate empowerment of staff, insufficient training of students, staff arriving late for duties, lack of passion their work, skipping and missing of routines, support service that was not working hand in hand with the nursing staff, increased hospitalization of patients and the Eastern cape Department of Health failing to remunerate the nurses as promised.
- Full Text:
- Date Issued: 2014
‘Student life’ discourse and the perception of risk for HIV infection among undergraduate nursing students, at a university, Eastern Cape Province, South Africa
- Authors: Mnwana, Sindiswa Millicent
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11922 , http://hdl.handle.net/10353/d1019830
- Description: There is evidence that the HIV prevalence rates among South African university students remains low at 3.4 %. However, the vulnerability of young people to HIV/AIDS continues to be a serious concern as the prevalence of sexual risk behaviour among students in South African universities is reported to reach 68% in heterosexual relationships. Some analysts argue that so far little is known about the influence of the university culture (the so called “student life”) in this behaviour. The purpose of this study was to explore the perceptions of the risk for HIV infection amongst undergraduate nursing students at an institution of higher learning (university) in East London, Eastern Cape. More specifically, the study examined the ways in which the ‘student life’ discourse functions to influence students’ perceptions of the risk to HIV infection at the selected institution of higher learning. An explorative and descriptive qualitative design was used. The purposive sampling technique was used to select participants. In total, 12 one to one interviews and four focus group discussions (n=35) were conducted. An interview guide was used and a voice recorder to record interviews. Through in-depth interviews and focus group discussions, the research sought to provide insight into the perceptions of risk for HIV infection. The data were analysed using thematic analysis and the themes identified formed the basis for discussion in this study. Among the key findings, that emerged from this study was that knowledge about potential risks to HIV/AIDS did not seem to influence the general sexual behaviour of students. A majority of the participants, 90% that were interviewed individually perceived themselves to be at “little or no” risk of contracting HIV/AIDS despite the high prevalence of HIV risk indicators among them. One of the main findings was that the students’ values that they bring from home were seriously challenged by the student life when they arrived at the university. Therefore in this regard undergraduate nursing students should be equipped by the university with aspects of sexual behaviour such as sexual negotiation and sexual decision making. This would equip them with the necessary skills to resist peer pressure.
- Full Text:
- Date Issued: 2014
- Authors: Mnwana, Sindiswa Millicent
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11922 , http://hdl.handle.net/10353/d1019830
- Description: There is evidence that the HIV prevalence rates among South African university students remains low at 3.4 %. However, the vulnerability of young people to HIV/AIDS continues to be a serious concern as the prevalence of sexual risk behaviour among students in South African universities is reported to reach 68% in heterosexual relationships. Some analysts argue that so far little is known about the influence of the university culture (the so called “student life”) in this behaviour. The purpose of this study was to explore the perceptions of the risk for HIV infection amongst undergraduate nursing students at an institution of higher learning (university) in East London, Eastern Cape. More specifically, the study examined the ways in which the ‘student life’ discourse functions to influence students’ perceptions of the risk to HIV infection at the selected institution of higher learning. An explorative and descriptive qualitative design was used. The purposive sampling technique was used to select participants. In total, 12 one to one interviews and four focus group discussions (n=35) were conducted. An interview guide was used and a voice recorder to record interviews. Through in-depth interviews and focus group discussions, the research sought to provide insight into the perceptions of risk for HIV infection. The data were analysed using thematic analysis and the themes identified formed the basis for discussion in this study. Among the key findings, that emerged from this study was that knowledge about potential risks to HIV/AIDS did not seem to influence the general sexual behaviour of students. A majority of the participants, 90% that were interviewed individually perceived themselves to be at “little or no” risk of contracting HIV/AIDS despite the high prevalence of HIV risk indicators among them. One of the main findings was that the students’ values that they bring from home were seriously challenged by the student life when they arrived at the university. Therefore in this regard undergraduate nursing students should be equipped by the university with aspects of sexual behaviour such as sexual negotiation and sexual decision making. This would equip them with the necessary skills to resist peer pressure.
- Full Text:
- Date Issued: 2014
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